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Review
. 2013;26(3):198-203.

Laparoscopic surgery for colon cancer

Paolo Millo  1 , Corrado Rispoli  2 , Nicola Rocco  3 , Riccardo Brachet Contul  1 , Massimiliano Fabozzi  1 , Manuela Grivon  1 , Mario Junior Nardi  1 , Rosaldo Allieta  1
Affiliations
Review

Laparoscopic surgery for colon cancer

Paolo Millo et al. Ann Gastroenterol. 2013.

Abstract

Colon cancer is a major problem in Western countries and complete surgical resection is the main treatment. Since its introduction the laparoscopic approach has been used to achieve bowel resection with a better postoperative course and better aesthetic outcomes. Initial concerns about the radicality of the resection and the oncologic outcomes have been overcome in the last decade. All over the world large trials have been conducted to compare the laparoscopic approach and the traditional laparotomic one. A review of literature has been conducted to find evidence about this issue, revealing 24 relevant trials. The laparoscopic approach showed short-term benefits without compromising oncological safety. However intraoperative complication rates during laparoscopic colon resections seem to be increased, mainly due to the increased rate of intraoperative bowel injury. This finding confirms a great need for training and a wide learning curve for the surgeon. Our review supports the continued use of laparoscopic surgery in patients with colon cancer.

Keywords: Colon cancer; laparoscopy, colon resection; mini-invasive surgery.

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Conflict of interest statement

Conflict of Interest: None

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